ISSN:
2181-3906
2025
International scientific journal
«MODERN
SCIENCE
АND RESEARCH»
VOLUME 4 / ISSUE 3 / UIF:8.2 / MODERNSCIENCE.UZ
968
REASONS FOR PROLONGED LABOR
Mukhitdinova T.Q
Xalikova D.Z.
2nd Department of Obstetrics and Gynecology, Andijan State Medical Institute, Uzbekistan.
https://doi.org/10.5281/zenodo.15105765
Abstract. Prolonged labour, also known as failure to progress, occurs when labor lasts for
approximately 20 hours or more if you are a first-time mother, and 14 hours or more if you have
previously given birth. Prolonged labour is one of the major causes of maternal death, and it is
associated with poor child survival in developing countries. So that we prepared a topic about
factors contributing a prolonged labour among pregnant women. The aim of this studying wasto
determine factors contributing to prolonged labour among pregnant women and also, to
understand how it affects their lives, while identifying current accidents and gaps. A descriptive
survey was chosen as it provides an accurate representation and characteristics of the prolonged
labour among pregnant women [3,4].
Key words: Prolonged labour, pregnant women, factors, retrospective data.
ПРИЧИНЫ ЗАТЯЖНЫХ РОДОВ
Аннотация. Затяжные роды, также известные как отсутствие прогресса,
происходят, когда роды длятся около 20 часов или более, если вы впервые рожаете, и 14
часов или более, если вы уже рожали. Затяжные роды являются одной из основных причин
материнской смертности и связаны с плохой выживаемостью детей в развивающихся
странах. Поэтому мы подготовили тему о факторах, способствующих затяжным родам
среди беременных женщин. Целью этого исследования было определить факторы,
способствующие затяжным родам среди беременных женщин, а также понять, как это
влияет на их жизнь, одновременно выявляя текущие несчастные случаи и пробелы. Было
выбрано описательное исследование, поскольку оно дает точное представление и
характеристики затяжных родов среди беременных женщин [3,4].
Ключевые слова: Затяжные роды, беременные женщины, факторы,
ретроспективные данные.
The study will assess the factors related to health condition contributing to prolonged
labour among pregnant women, (Anemia) the second objective was to find out factors related to
ISSN:
2181-3906
2025
International scientific journal
«MODERN
SCIENCE
АND RESEARCH»
VOLUME 4 / ISSUE 3 / UIF:8.2 / MODERNSCIENCE.UZ
969
the maternal condition (BMI), contributing to prolonged labour among pregnant women, to
describe factors related to fetal condition contributing prolonged labour among pregnant women.
The study also will assess the Demographic characteristics (Age, Marital status, Education
and Occupation). The target population for this study was 90 mothers who have prolonged labour
attended to the maternity ward [1,2]. The sample size of the study was involved 73 respondents of
the target population. The study shows that the Majority percentage 71% of the respondents
reported yes of pre-existing health conditions, 73% percentage of the respondents said the
diagnosed with malnutrition as a risk for pregnant women, Among the participants, 67% reported
diagnosed with dehydration during their current pregnancy. According to various data, STD
complicates the course of 8 to 20% of births and is the leading cause of surgical intervention in the
second period of labor, which often leads to the development of severe complications in both
mother and fetus [6]. The need to limit the length of the second period of labor is traditionally
explained by an increase in complications such as injuries to the birth canal, uterus, postpartum
endometritis, postpartum bleeding, fistulas, increased frequency of surgical interventions, as well
as asphyxia and trauma to the newborn [7, 8]. The number of studies devoted to the search for risk
factors for prolonged labor is limited. This is fully explained by the complexity of interpreting the
data obtained and their extremely low predictive value.
Methods.
An interviewer-administered structured questionnaire was used to collect data
from all households in which a prolonged labour had occurred and other related persons. This
study was a descriptive cross-sectional study design for quantitative methods of data collection.
This means to investigate population by selecting samples to analyze it and the information
was obtained at the same time on a particular point in time. It was used to collect retrospective
data from prolonged labour. The target population of this study was prolonged labour come to the
Galkayo south hospital during last year the target population for this study was 90 mothers who
have prolonged labour attending to the maternity ward, The total number of prolonged labour, the
sample size of the study was involved of 73 respondents of the target population. All respondents
were assumed to have vital information on the subject matter of the research. Respondents who
were willing to participate were approached.
Results
The majority of the respondents were between the ages less than 20 which
corresponds to respondents (47%) of the total sample. The vast majority of the respondents
representing (62 %) of the total sample were divorced accounting for (48%) no formal education;
the majority of the respondents, Among the participants, the Majority (71%) percentage of the
ISSN:
2181-3906
2025
International scientific journal
«MODERN
SCIENCE
АND RESEARCH»
VOLUME 4 / ISSUE 3 / UIF:8.2 / MODERNSCIENCE.UZ
970
respondents reported yes of pre-existing health conditions, The majority of respondents,
comprising (73%) percentage yes of the diagnosed with malnutrition as a risk for pregnant women,
Among the participants, (67%) reported diagnosed with dehydration during their current
pregnancy. The majority of respondents, which (75%) reported previous anemia during your
current pregnancy, Among the participants (65%) reported that their first pregnancy, the majority
percentage of respondents (73%) of the respondents 3 www.iqresearchjournal.com reported not
receiving prenatal care. the highest number which was the respondents, (75%) reported no
experience pelvic Tumor that cause no educational. The majority (79%) reported not experienced
cephalopelvic disproportion before this pregnancy, The majority, (63%) reported not assess the
fetal size in this pregnancy, Among the participants, (79%) reported had not diagnosed with big
baby, The majority (67%) respondents reported was not evaluated malpresentation of the fetus.
Discussion
Prolonged labour is an important cause of maternal and perinatal mortality and
morbidity. Common underlying causes include inefficient uterine contractions, abnormal fetal
presentation or position, inadequate bony pelvis or soft tissue abnormalities of the mother.
Identifying the exact cause of slowly progressing labour in clinical practice can be
challenging. Thus, “failure of labour to progress” has become one of the leading indications for
primary caesarean section, particularly in first-time mothers. There is growing concern that
caesarean section is performed too soon in many cases, without exploring less invasive
interventions that could lead to vaginal birth.
Conclusion
The study of factors contributing to prolonged labor among pregnant women
reveals several critical insights that can inform healthcare practices and policies. The findings
underscore the complexity of prolonged labor, influenced by a combination of medical, cultural,
and socioeconomic factors.
REFERENCES
1.
American Psychological Association. (2020). Publication manual of the American
Psychological Association (7th ed.). Washington, DC: Author.
2.
World Health Organization. (2018). Intrapartum care for a positive childbirth experience.
Geneva: Author. Retrieved from https://www.who.int/publications/i/item/intrapartum-
ISSN:
2181-3906
2025
International scientific journal
«MODERN
SCIENCE
АND RESEARCH»
VOLUME 4 / ISSUE 3 / UIF:8.2 / MODERNSCIENCE.UZ
971
3.
Smith, J. A., & Brown, L. M. (2019). Factors influencing prolonged labor: A systematic
review.
Journal
of
Obstetrics
and
Gynecology,
45(3),
234-240.
https://doi.org/10.1080/01443615.2019.1601234
4.
Bedwell, C., Levin, K., Pett, C., & Lavender, T. D. (2017). A realist review of the
partograph: When and how does it work for labour monitoring? BMC Pregnancy and
Childbirth, 17(1), 1-1. https://doi.org/10.1186/s12884-017-1470-1
5.
Caldeyro, R., Alvarez, H., & Reynolds, S. R. M. (1950). Surgery, Gynecology &
Obstetrics, 96, 641. De Silva, S. (1989). Obstetric sequelae of female circumcision.
European Journal of Obstetrics & Gynecology and Reproductive Biology, 32, 233-240.
https://doi.org/10.1016/0028-2243(89)90051-4
6.
El-Hamamy, E., & Arulkumaran, S. (2005). Poor progress of labour. Current Obstetrics &
Gynaecology, 15(1), 1-8.
7.
Hagiwara, M., Nakanishi, S., Shindo, R., Obata, S., Miyagi, E., & Aoki, S. (2022). An
extremely prolonged second stage of labor increases maternal complications but has no
adverse effect on neonatal outcomes. Journal of Obstetrics and Gynaecology Research,
48(6), 1364-1369. https://doi.org/10.1111/jog.15212
8.
Collins, K. A., & Popek, E. (2018). Birth injury: Birth asphyxia and birth trauma. Academy
of Forensic Pathology, 8(4), 788-864. https://doi.org/10.1177/1925362118821468
9.
Kibuka, M., & Thornton, J. G. (2017). Position in the second stage of labour for women
with epidural anaesthesia. Cochrane Database of Systematic Reviews, (2).
https://doi.org/10.1002/14651858.CD007312.pub3
